You are aleady required to pay Social Security and Medicare so how is this any different?
Someone said the same thing in another thread. I'll repost my response here...
This is actually different. You are not mandated to pay into social security in a technical sense. Let me explain based on my understanding of the court case that challenged SS and the governments argument.
Social Security Taxes does not actually directly go to social security. IE there is no actual legitimate trust fund where the money you pay for social security goes directly into said fund and is used to pay back out to you. In reality, "Social Security Taxes" are simply a form of income taxes that goes into the general treasurey. At the same time, "Social Security benefits" are offered to people by the government at a specific rate. These benefits are paid for by the general treasurey fund which allocates moneys to Social Security (and in cases where it allocates less than it should, because its using SS money elsewhere, it gives it essentilaly an IOU).
So with Social Security, in reality, you're not paying for social security in a direct sense. You're paying the government a tax called "social security tax" that goes into the pot with all the other taxes. The government is providing a general service called Social Security to you and it pays for it from that general fund. However, THEORITCALLY SPEAKING either one of those parts...the SS tax or the SS benefits...could go away while the other one remain in place as they don't DIRECTLY connect to each other from a fiscal stand point (though from a legislative stand point that's a different story).
That is why, when SS was argued, it was able to avoid the notion of the government forcing you to pay for social security. It isn't. It's forcing you to pay for a tax. And along with that tax, they are implimenting a new government benefit.
In the case of health insurance, or "burial insurance", there are a few issues that make it different than social security. First and foremost, you're not paying the GOVERNMENT money...you're paying a private company money. So its not the government directly taxing you, but rather overtly taxing you by forcing you to purchase something. Second, the government isn't providing the benefit in this case but rather its a private industry.
Now, what this does mean however is that...as far as case law goes...it would be constitutional in a general sense to do a single payer system. In that case, an individual is paying a "health care tax" that goes into the general fund rather than paying SPECIFICALLY for health care. Along with this, government provides health coverage to its citizens as a benefit, not directly tied to the "health care tax" but theoritically having the deficit in the budget it would cause be covered by the new tax.